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LINCOLN HILLS RV GROUP MEMBERSHIP APPLICATION

1st Name: ____________________________________________________________________

E-mail Address: _______________________________________________________________

Cell Phone No.: _______________________________________________________________

Home Phone No.: ____________________________________________________________

2nd Name: ___________________________________________________________________

E-mail Address: ______________________________________________________________

Cell Phone No.: ______________________________________________________________

Home Address: _______________________________________________________________

RV Type (Motor Home, Fifth Wheel, Trailer): _________________________________

Year: Make , Model: __________________________________________________________

Vehicle License Number: __________________________________

Length: __________________ No. of Slides: __________________________________

Tow Vehicle Make: __________________ Model License No.: ______________

Membership dues are $25.00 per year from January 1st to December 31st.

Initiation fee of $15.00 which covers name tags and placards is required. Total enclosed for membership dues and initiation is $ ______________ .

Release of Liability and Assumption of Risk: The undersigned agree to release the officers and members of the Lincoln Hills RV Group (“RV Group”) from all liability for injury to our personal property and/or bodily injury incurred while participating in RV Group Rallies, whether or not caused by the negligence of another RV Group Member. Further, the undersigned agree to assume the risk of all such personal property injury and/or bodily injury sustained such injuries from the RV Group officers or individual members.

Signature , Date: _________________________________________________________________________

Please make your check out to LHRVG and return the form and check to: Cindy Aimar, 790 Yosemite Court, Lincoln, CA 95648

Phone : 707-494-8185 Email: [email protected]